TEE Protocol: ============= 1) Quick baseline study -LV function -RV function -Tricuspid Valve -Mitral Valve -Aortic Valve -Pulmonic Valve -Pericardial Effusion 2) Left atrial appendage -Start at 60 degrees to best visualize -Look for clot / thrombus -45 degrees - measure width / depth -90 degrees - measure width / depth -135 degrees - measure width / depth -0 degrees - measure width / depth 3) Bicaval view -Watch for tenting and septal puncture site 4) 45 degrees as septal puncture happens -Watch guide towards left atrial appendage -Look for thrombus 5) Check for pericardial effusion 6) 45 degrees for device positioning 7) Check device positioning and dimensions -45 degrees -90 degrees -135 degrees -0 degrees 8) Watch tug at 45 degrees 9) Watch device deployment at 45 degrees 10) Check positioning and dimensions post-deployment -45 degrees -90 degrees -135 degrees -0 degrees 11) Check for pericardial effusion 12) Done Report: ======= Procedural TEE performed for Watchman device placement. Transseptal puncture performed under TEE guidance. The Watchman sheath was advanced to the left atrial appendage. A x mm Watchman FLX device was deployed at the level of the left atrial appendage os. No device leak was seen on color flow interrogation after device deployment and no peri-device thrombus was noted either. [Device shoulder, if present.] The device was well-compressed. Baseline comment on LV function. Baseline comment on valvular disease. Baseline comment on any other significant findings. In Atria Section: Maximum left atrial appendage width at os: x mm Maximum left atrial appendage depth at os: x mm Device Measurements (Post Deployment): 0 degrees: x mm 45 degrees: x mm 90 degrees: x mm 135 degrees: x mm